Perioperative nutritional management of patients undergoing pancreatoduodenectomy: an international survey among surgeons.

Details

Serval ID
serval:BIB_55C958A2507D
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Perioperative nutritional management of patients undergoing pancreatoduodenectomy: an international survey among surgeons.
Journal
HPB
Author(s)
Martin D., Joliat G.R., Halkic N., Demartines N., Schäfer M.
ISSN
1477-2574 (Electronic)
ISSN-L
1365-182X
Publication state
Published
Issued date
01/2020
Peer-reviewed
Oui
Volume
22
Number
1
Pages
75-82
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
There is still a lack of good evidence regarding the optimal perioperative nutritional management for patients undergoing pancreatoduodenectomy (PD). The aim of this international survey was to assess the current practice among pancreatic surgeons.
A web survey of 30 questions was sent to the members of the European-African Hepato-Pancreato-Biliary Association (E-AHPBA) and International Hepato-Pancreato-Biliary Association (IHPBA). All members were invited by email to answer the online survey. A reminder was sent after 4 weeks.
In total 420 out of 2500 surgeons (17%) answered the survey. Almost half of the surgeons (44%) did not organize a preoperative nutritional consultation for their patients. Seventy-seven percent of the participants did not have specific nutritional thresholds before the operation. A majority (66%) routinely used biological parameters to detect or follow malnutrition. Regarding intraoperative details, 69% of the respondents routinely leaved a nasogastric tube at the end of PD for gastric drainage. Sixty-six percent of the participants reported a postoperative nutritional follow-up consultation during hospitalization, and 58% of them had established local standardized protocols for postoperative nutritional support.
Management of perioperative nutrition in patients undergoing PD was very disparate internationally. No specific preoperative nutritional thresholds were used, and postoperative feeding routes and timing were diverse.
Pubmed
Create date
18/07/2019 17:39
Last modification date
05/02/2020 7:20
Usage data